Individual
KHIEM SAM NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
11353 SUGAR PARK LN, SUGAR LAND, TX 77478-1407
(917) 420-3565
Mailing address
9222 ADOBE SKY CT, RICHMOND, TX 77407-1791
(917) 420-3565
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
017297-1
NY
Other
Enumeration date
06/09/2012
Last updated
11/09/2018
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